Bariatric Surgery

Bariatric surgery may be the next step if you remain severely obese after trying nonsurgical approaches or if you have obesity related health conditions. Persons having BMI between 32.5 and 37.5 with one or more Significant Obesity related conditions like:

High blood pressure

Diabetes

Arthritis

Sleepapnea

High cholesterol

Has BMI greater than 40 with or without obesity related medical conditions

Has failed attempts with diet plans and behavioral and medical therapies

Facts about Bariatric Surgery

  •   It is done Laparoscopically (Key hole surgery).
      It is the only effective treatment for long – term and sustained weight loss which results in improvement and / or resolution of comorbid conditions, improved quality of life and self esteem and increase in longevity.
      It is a highly sophisticated procedure for a complex disease.
  •   It is not a cosmetic surgery (It is not same as liposuction).
      The results achieved are partly cosmetic.
      30 – 70% of your excess body weight will be lost over 6 months to 2 years.
      Hospital stay is 2 – 5 day only.

Bariatric Surgery Types

Laparoscopic Sleeve Gastrectomy

LSG is a relatively new technique wherein the capacity of the stomach is reduced by stapling the stomach. The excess body weight loss at the end of 2 years is matching that of Gastric bypass (RYGB).

Advantages

No implants

Great appetite suppression

Minimal vitamin malabsorption on the long run

At the end of 2 years most patients can eat well

No significant late complications

Gastric Bypass Roux –EN- Y

RYGB is combined restrictive and malabsoptive procedure. A stapler is used to create a small stomach pouch (Restriction) and then a loop of small intestine is bypassed (malabsorption) Thus preventing mixing of food with digestive juices.

Advantages

60 – 80% EBW is maintained at the end of 10 years

More than 90% chances of resolution of some of the co-morbid condition like diabetes, high blood pressure, sleep apnea, joint pains etc

Side Effects & Complications

Like any major surgical procedure, Bariatric surgery also has associated side effect and complications. Your doctor will discuss all these with you in detail in the preliminary stage. Although rare, these complications may occur in spite of all care. However, at VIGOS, We are proud of our extremely low complication rate.

Side Effects

Every procedure has set of side effects but overall it includes:

  • Food restriction
  • Malabsorption of vitamins and minerals
  • Hair loss is temporary
  • Regurgitation

Complications

  • Deep vein thrombosis (blood clot in legs) & pulmonary embolism
  • Leaks from staple line breakdown
  • Anastomotic stricture
  • Respiration rate
  • Bowel obstruction (internal hernias, etc.)
  • Wound infection
  • Internal Bleeding
  • Cardiac complications

Although rare, these complications can occur in spite of all care, We are proud of our extremely low complication rate.

OBESITY

It is a lifelong, progressive, life threatening condition marked by excess body fat, which can significantly reduce life expectancy. Any person with a BMI of 30 or more is considered obese.

MORBID OBESITY

BMI of 37.5 or greater labels the person as morbidly obese. (Or 35 kg or more excess body weight.) BMI = Weight in kg (Height in Meter) 2.

Disadvantages of OBESITY

Obesity is directly or indirectly responsible for some of the most serious diseases and suffering of the mankind. Obesity – related health conditions whether alone or in combination, can significantly reduce your life expectancy.

Type 2 Diabetes

Obesity leads to insulin resistance and this leads to high blood glucose levels. Over many years this would lead to damage to vital organs like the brain, eyes, heart , kidney and liver.

High Blood Pressure

Obesity puts extra work load on the heart and increases blood pressure. High blood pressure can lead to severe damage to vital organs like brain, heart, kidney and eyes.

GERD

People with excess body weight have increased frequency of Gatro-esophageal reflux leading to heart burn (Acidity). Swelling of the legs not responding to any treatment.

Osteoarthritis of weight bearing joints

The excess weight leads to early wear and tear of hip, knee and vertebral joints. This will lead to joint pain, restricted mobility and thereby starting a vicious cycle where in obesity reduces mobility which in turn increases obesity.

Sleep apnea & respiratory illnesses

Fat deposits in the tongue and neck can cause intermittent obstruction of the air passage. As the obstruction is increased when sleeping on your back, you may find yourself waking frequently to reposition yourself. The resulting loss of sleep often results in daytime drowsiness and headaches. Moreover, the severe fall in oxygen intake can be life-threatening.

Infertility

Obesity indirectly reduces the chance to conceive (to become pregnant).

Stress urinary incontinence. (For Woman)

It is vaguely described as leakage of urine on coughing and laughing.

Cancer

Obesity increases the risk of developing cancers of the pancreas, liver, large intestine, kidneys and ovaries.

Other

Leg ulcers, Dyslipidemia (High cholesterol and other lipid levels in blood), Varicose Veins, Menstrual Irregularities, Cancers, Swelling of the feet.